(A) FORM A (on preliminary layout):
CERTIFICATE OF APPROVAL OF ROADWAY SYSTEM
I hereby certify that the roadway locations and cross-sections proposed to be constructed in the subdivision shown hereon meet the criteria of the Jessamine County Road Department.
(Date) , 20
(Signature of County Road Engineer)
(Ord. passed 2- -1985, Appendix V)
(B) FORM B (on preliminary layout and final subdivision plat):
CERTIFICATION OF AVAILABILITY OF WATER SUPPLY
I hereby certify that (name of agency or company) shall supply the (name of subdivision) with services, and that the water distribution system of said subdivision meets the requirements of this agency and all other requirements for the proper distribution of water.
(Date) , 20
(Signature of the Engineer of the agency or company)
(Ord. passed 2- -1985, Appendix V)
(C) FORM C (on preliminary layout and final subdivision plat):
CERTIFICATION OF AVAILABILITY OF SEWAGE SERVICES
I hereby certify that (name of agency or company) shall supply the (name of subdivision) with sewage disposal services and the sewage disposal system of said subdivision meets the requirements of this agency and all other requirements for the proper disposal of sewage.
(Date) , 20
(Signature of the Engineer of the agency or company)
(Ord. passed 2- -1985, Appendix V)
(D) FORM D (on final subdivision plat):
CERTIFICATION OF OWNERSHIP AND DEDICATION
I (we) hereby certify that I am (we are) the owner(s) of the property shown and described hereon and that I (we) hereby adopt this plan of the subdivision with my (our) free consent, establish the minimum building restriction lines, and dedicate all streets, alleys, walks, parks and other open spaces to public or private use as shown, in accordance with the Wilmore and Jessamine County subdivision regulations, unless otherwise noted.
(Date) , 20
(Signature of owner or owners)
(Ord. passed 2- -1985, Appendix V)
(E) FORM E (on final subdivision plat):
CERTIFICATE OF ACCURACY
I hereby certify that the plan shown and described hereon is a true and correct survey to the accuracy required by the City of Wilmore-Jessamine County Planning Commission and that the monuments have been placed as shown herein to the specifications of the Jessamine County Engineer or other authorized officer.
(Date) , 20
(Signature of registered engineer or surveyor)
(Ord. passed 2- -1985, Appendix V)
(F) FORM F (attached to final subdivision plat):
CERTIFICATION OF THE APPROVAL OF STREETS AND UTILITIES
I hereby certify that: (1) that streets, utilities and other improvements have been installed in an acceptable manner and according to city (county) specifications in the subdivision entitled: or, (2) that a security bond in the amount of $ has been posted with the legislative body of , Kentucky to assure completion of all required improvements in case of default.
(Date) , 20
(Planning Commission Administrative Officer or other Approving Agent)
(Ord. passed 2- -1985, Appendix V)
(G) FORM G (on final subdivision plat):
APPROVAL FOR RECORDING
I hereby certify that the subdivision plat shown hereon has been found to comply with the subdivision regulations for , Kentucky, with the exceptions of such variances, if any, as are noted in the minutes of the Planning Commission and that it has been approved for recording in the office of the County Clerk.
(Date) , 20
(Chairperson or Secretary, Planning Commission)
(Ord. passed 2- -1985, Appendix V)
(H) FORM H (on preliminary plat):
PROHIBITED TRANSACTIONS
This plat cannot be used for the sale of undeveloped lots until a final plat has been recorded.
(Date) , 20
(Signature of Applicant)
(Ord. passed 2- -1985, Appendix V)
(I) FORM I (on retracement plat):
CERTIFICATION OF OWNERSHIP AND ACCURACY
I (we) hereby certify that I am (we are) the owner(s) of the property shown and described hereon and that I (we) hereby certify as to the accuracy and existence of all physical features reflected on the plat, and to compliance with the Jessamine County-City of Wilmore subdivision regulations and the zoning ordinance for
, Kentucky.
(Date) , 20
(Signature of owner or owners)
(Ord. passed 8-14-2001)
(J) FORM J (on retracement plat):
CERTIFICATE OF ACCURACY
I hereby certify that the survey shown and described hereon is a true and correct survey to the accuracy required by the standards of practice for professional land surveyors in Kentucky and the Jessamine County-City of Wilmore Planning Commission, and that monuments have been placed as shown herein to the specifications of the survey and the Jessamine County-City of Wilmore subdivision regulations. I further certify as to the accuracy and existence of all physical features reflected on said plat.
(Date) , 20
(Signature of Licensed Land Surveyor)
(Ord. passed 8-14-2001)
(K) FORM K (on retracement plat):
I hereby certify that the retracement plat shown hereon has been approved for recording in the office of the Jessamine County Clerk as compliant with the applicable subdivision regulations; however, no representation is made as to the existence or accuracy of any physical features reflected thereon.
(Date) , 20
(Chairperson or Secretary, Planning Commission)
(Ord. passed 8-14-2001)